| Entity Name: | FAMILIES FIRST MEDICAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Apr 2020 (5 years ago) |
| Document Number: | L20000109359 |
| FEI/EIN Number | 85-0824055 |
| Address: | 11555 CENTRAL PARKWAY, SUITE 402, JACKSONVILLE, FL, 32224, US |
| Mail Address: | 8246 RIDING CLUB ROAD EAST, JACKSONVILLE, FL, 32256, US |
| ZIP code: | 32224 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154942563 | 2020-04-27 | 2021-12-17 | 8246 RIDING CLUB RD E, JACKSONVILLE, FL, 322567266, US | 11555 CENTRAL PKWY STE 402, JACKSONVILLE, FL, 322242695, US | |||||||||||||||
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| Phone | +1 904-707-6042 |
| Phone | +1 904-747-3800 |
Authorized person
| Name | MRS. TRACEE HOLZENDORF |
| Role | ADMINISTRATOR |
| Phone | 9046080095 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MITCHELL KIA | Agent | 8246 RIDING CLUB ROAD EAST, JACKSONVILLE, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| MITCHELL KIA | Manager | 8246 RIDING CLUB ROAD EAST, JACKSONVILLE, FL, 32256 |
| NGUYEN THANH | Manager | 1334 N KYLE WAY, SAINT JOHNS, FL, 32259 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-28 | 11555 CENTRAL PARKWAY, SUITE 402, JACKSONVILLE, FL 32224 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-04-15 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-01-28 |
| Florida Limited Liability | 2020-04-22 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
